This week, you have 2 deliverables. You will compile your plan for selection and implementation of a new EHR system based on the work that you have done in Weeks 1–3. You will also create a Request fo

This week, you have 2 deliverables. You will compile your plan for selection and implementation of a new EHR system based on the work that you have done in Weeks 1–3. You will also create a Request fo
5 Your Name HCI490 Unit 4 Final Project Plan (Parts 1 & 2) Colorado Technical University Date Note: This is an APA 7th edition formatted template for you to use for your assignment. It includes the title page, content pages as well as a reference page. You will need to delete my notes under each heading, and information on the reference page before you start your paper. You can then insert your information on the title page and begin to type your content under the headings provided. Please note that the headings are used in APA formatted papers to identify and separate content being covered. The headings in this paper are taken from the directions to help you understand what is required in the paper. (please remove this paragraph after reading). Introduction Paragraph Provide a brief summary of the Yorkshire Clinic scenario, what is covered in the paper, and why the transition to a new EHR is necessary. Part 1 – Components of the plan Give a brief overview of your findings from Week’s 1 through 3. In addition, you will discuss the overall project plan such as the organizing plan, data migration plan, communication plan to stakeholders, and the change management process. Readiness Assessment You will include your readiness assessment listed in your previous assignment. Benefits of Switching to New EHR You will include the benefits of switching to a new EHR that you stated from your previous assignment. Potential Implementation Issues From your previous assignment, include the information on the potential implementation issues that may occur. Data Migration Include information on the importance of data migration and Yorkshire’s expectation for this process from the old EHR to the new as well as if the need arises in the future if you have to switch to a new EHR in the future. Communication Plan Discuss how you will be communicating with all end-users (stakeholders) the transition process. Include information on training staff to help ease the transition process. Change Management Process Discuss the basic change management principles and explain why managing any change effectively is important to the success of EHR implementation and other practice transformation initiatives. Recommendations for Vendor From your previous assignment, discuss your research process of the vendors. List the considerations for selecting a vendor. Talk about the vendors you researched, identify the one chosen and the rationale for your choice. Part 2 – Request for Proposal Information about the clinic In as much detail as possible, use your cover letter from the Week 4 Discussion to state the information about Yorkshire clinic. Functionality Desired In as much detail as possible, discuss information on the product the Yorkshire Clinic requires. Make sure to include any functions/features desired (i.e, documentation, ePrescribing, integration to billing system, etc.). Make sure to add your expectation on data migration and interoperability capabilities now and into the future. Product Description In as much detail as possible, discuss the specific product description as well as expectation on training of staff. In addition, include patient accounting and reimbursement requirements. Conclusion A conclusion is an important part of the paper; it provides closure for the reader while reminding the reader of the contents and importance of the paper. For most course papers, it is usually one paragraph that simply and succinctly restates the main ideas and arguments, pulling everything together to help clarify the opinion of the paper. Remember that a conclusion does not introduce new ideas. It is used to clarify the intent and importance of the paper. This is the area where you sum up your project plan related to the goals, objectives, data migration, and testing. References Colorado Technical University. (2021, September 14). HCI490 Scenario: Yorkshire Clinic: Replacement of EHR [PDF]. Colorado Technical University Virtual Campus. https://studentlogin.coloradotech.edu HealthIT.gov. (2018). Goals and objectives for electronic health record (EHR) implementation. https://www.healthit.gov/resource/goals-and-objectives-electronic-health-record-ehr-implementation HealthIT.gov. (2018). Request for proposal (RFP) template for health information technology.  https://www.healthit.gov/resource/request-proposal-rfp-template-health-information-technology
This week, you have 2 deliverables. You will compile your plan for selection and implementation of a new EHR system based on the work that you have done in Weeks 1–3. You will also create a Request fo
7 Unknown HCI490 Unit 3 Project Plan Colorado Technical University Date For this paper, we have Yorkshire clinic, which seeks to update its EHR vendor. Therefore my suggestions will include three major EHR vendor vendors within Yorkshire that will enable the clinic to implement the new system successfully. When implementing a new EHR system, numerous factors should be considered, including the resources available, the time to be taken during implementation, the system’s performance, how patient information access will improve etc. Therefore, I will discuss three major EHR vendors, their unique services, and their challenges. Rudin et al. (2020). In conclusion, I will suggest the most effective EHR vendor to Ms Hendricks. The three EHR systems and vendors that I have selected for review and to provide a brief synopsis to Ms. Hendricks are Epic, Praxis EMR, and Cerner. From what I have ascertained throughout my extensive research, each of these systems are good and would be beneficial to any healthcare organization. In my opinion, there is only one of them that I will recommend because I believe it is optimal of the three and it will enhance Ms. Hendricks, high reliability organization. I will be clear and concise in providing the information and data that I have collected of each EHR so there is no lack of clarity. I will strive to inform you of the integral role the selection process played in selecting the aforementioned EHR’s. Epic is among the most popular and long-lived EHR vendors because it was founded in 1979 and has a positive reputation for continued improvement. Additionally, Epic helps healthcare facilities to be scalable as they improve; for example, for the clinic, there will be no need to replace the vendor since, as it grows, new programs will be installed without having to overhaul them. The provider also has cloud-based services such that the facility will not require to save patient records on a hard drive; this means that there will be fewer downtimes and network failures in the organization after implementation. DreamSoft4U Team. (2021). The Praxis EMR vendor is also famous for serving thousands of healthcare practitioners in the US through excellent user experience and usability. Users are provided with free templates, which promote flexibility. The clinic will receive numerous features from this vendor, including charting, voice recognition, a self-service portal, handwriting recognition, e-prescription, etc. Cerner is another great EHR vendor that has been used for a long in the US; some of its great features include; the understanding that using the EHR system is often complex. Therefore, they offer advisory services to HealthCare facilities regarding patient records management. Consequently, the clinic will benefit from this vendor since they will understand essential tips to improve patient care delivery. Other solutions offered by the vendor include community care management, performance improvement, revenue cycle management, scorecards, registries and wellness management programs. EHR Guide. (2021). Each of these EHR systems have a ton of advantages and benefits to offer healthcare organizations. Epic further adheres to HIPAA regulations, thus protecting patients’ privacy. Other unique services by Epic include order management, internet connectivity or communication, templates for data entry, etc. The clinic can also order customized charts based on requests. Additionally, Epic has been highly considered for having remote care and patient management capabilities, improving care delivery. Over the years, a patient portal has been developed where clients can track their healthcare progress without visiting the clinic. For the past five years, Epic has been regarded as the best in efficiency and reliability for outpatient and inpatient care delivery. Praxis EMR vendor has also complied with the HIPAA to promote patient and physician information safety. Another unique feature of the vendor is the incorporation of artificial intelligence technology, especially in understanding the physician’s patterns and behavior. It is suitable for both small and large healthcare organizations. ITQlick. (2021). The clinic will receive a free trial first to check whether the features will provide any benefits to them or not. Within the US, the vendor has been rated five out of five stars, meaning their customer satisfaction is great. The vendor claims that its services will reduce the time required to fill electronic paperwork and help healthcare practitioners have more time with their patients, thus improving the quality of care delivered. The Cerner vendor has a customer support service number that can be called anytime; there are also social collaboration tools. The clinic will also receive on and off-site hosting capabilities. Finally, the vendor has developed a profile value for the client’s example from the department of defense. Although the EHR systems come with many advantages, it is daunting to elaborate that they also come with many disadvantages as well. The significant challenges of Epic include the technical challenge where the clinic will require to install high-speed internet, which may increase costs significantly. The vendors have been accused of administrative challenges, including an unwillingness to integrate third-party sources and contract limits. DreamSoft4U Team. (2021). However, the major challenges of Praxis EMR vendor include; the users having to be retrained to use the program, which will be time-wasting considering that the clinic already had another vendor. Finally, there is no healthcare portal for patients to check their records without visiting the clinic. Unfortunately, the major challenge of Cerner is numerous directions; therefore, the users must make many clicks before doing any act, which is both time-wasting and may lose the connection between the caregivers and patients. All of the flaws that are derived within the EHR systems will also present challenges when migrating from one HER system to another. The current technical capabilities, equipment, and budget will play an extremely integral role during the transition. I would also take into consideration the impacts that the transition has on our patient population and would make a suggestion to Ms. Hendricks to strive for the one that is as seamless as possible. In conclusion, the three vendors selected above will provide outstanding services to the Yorkshire clinic; however, I think the epic vendor will have more significant benefits than the other vendors above. Firstly Epic has a web portal where patients can directly access their information without visiting the healthcare facility for clarification. Epic is also user-friendly due to the intelligent phrases, shortcuts and templates; it has also complied with the HIPAA regulations, guaranteeing patient records’ safety. Finally, Epic will make Yorkshire clinic more scalable in future since they will not have to install new programs when improving their operations. References Colorado Technical University. (2021, September 14). HCI490 Scenario: Yorkshire Clinic: Replacement of EHR [PDF]. Colorado Technical University Virtual Campus. https://studentlogin.coloradotech.edu HealthIT.gov. (2018). Goals and objectives for electronic health record (EHR) implementation. https://www.healthit.gov/resource/goals-and-objectives-electronic-health-record-ehr-implementation Health IT Playbook. (2019). Healthit.gov. https://www.healthit.gov/playbook/electronic-health-records/ https://class.ctuonline.edu/_layouts/MUSEViewer/Asset.aspx?MID=23208569&aid=23208574 https://www.healthcareitnews.com/category/resource-topic/electronic-health-records http://www.hl7.org
This week, you have 2 deliverables. You will compile your plan for selection and implementation of a new EHR system based on the work that you have done in Weeks 1–3. You will also create a Request fo
Request for Proposal (RFP) Template for Health Information Technology Template Provided By: The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been incorporated into this material. The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) Wisconsin Health Information Technology Extension Center (WHITEC) Stratis Health Wide River Technology Extension Center (Wide River TEC) The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been incorporated into this material. The material in this document was developed by Regional Extension Center staff in the performance of technical support and EHR implementation. The information in this document is not intended to serve as legal advice nor should it substitute for legal counsel. Users are encouraged to seek additional detailed technical guidance to supplement the information contained within. The REC staff developed these materials based on the technology and law that were in place at the time this document was developed. Therefore, advances in technology and/or changes to the law subsequent to that date may not have been incorporated into this material. National Learning Consortium The National Learning Consortium (NLC) is a virtual and evolving body of knowledge and tools designed to support healthcare providers and health IT professionals working towards the implementation, adoption and meaningful use of certified EHR systems.  The NLC represents the collective EHR implementation experiences and knowledge gained directly from the field of ONC’s outreach programs (REC, Beacon, State HIE) and through the Health Information Technology Research Center (HITRC) Communities of Practice (CoPs). The following resource is an example of a tool used in the field today that is recommended by “boots-on-the-ground” professionals for use by others who have made the commitment to implement or upgrade to certified EHR systems. Description This RFP template is intended to aid providers and health IT implementers throughout the EHR vendor selection process. This template can be used to structure requests for vendors to send proposals on the specific health IT that needs to be acquired. Instructions Carefully review the template to see if it contains information needed from the vendors. Add, change, and delete information as needed. Update items that are noted with the appropriate information and remove the prompt. Delete notes that are intended as instructions only. Complete the Cover Page and General Conditions prior to sending to vendors, and complete information for the Vendor Profile before sending (if known). Table of Contents 1Complete Aspects of the Template 4 1.1Providing Information 4 1.2Time to respond 4 2Sample RFP 5 3Specialty Specific Requirements 37 Complete Aspects of the Template Providing Information Provide accurate information about the organization so the vendor can target the appropriate products and prepare an accurate price quote. This includes demographic, practice and IT information. Time to respond Give vendors 4-6 weeks to respond so that they have adequate time to prepare an appropriate response. Sample RFP Name of Practice Request for Proposal: Electronic Health Record (“EHR”) and Integrated Practice Management System INSERT Date> Request for Proposal To Whom It May Concern: About To meet the deadline for the initial approval, all responses to this RFP must be received electronically by 5:00 PM (EDT) on INSERT Date>. All vendors intending to submit a response are requested to submit a letter of intent along with any questions they may have by INSERT Date>. All questions from all vendors will be consolidated and answered in writing by 5:00 PM (EDT) on INSERT Date >. Vendors will review the information posted and communicate any requested changes or updates in writing. Questions and completed responses should be sent to: Terms and Instructions: Timeline Process Deadline Issue RFP INSERT Date> Intent to Respond Due INSERT Date> Written Questions Due INSERT Date> Responses Posted INSERT Date> RFP Responses Due INSERT Date> Vendor of Choice Selected INSERT Date> Letter of Intent to Respond asks that all vendors email a letter of intent declaring their intention to respond to this RFP by the given deadline. The e-mail should be sent to and received no later than INSERT Date>. Please include the words “RFP: Intent to Respond” in the subject line. Inquiries We encourage inquiries regarding this RFP and welcome the opportunity to answer questions from potential applicants. Please direct your questions to . Please include the words “RFP: Inquiry” in the subject line. Deadline for Response Interested vendors must submit an electronic copy of their proposed solution to by . Submissions will be confirmed by reply email. Late proposals will not be evaluated. Submission Process and Requirements Responses shall be submitted in PDF format and sent using electronic mail. Send your response to: by the date and time specified above. Receipt will be acknowledged via email. Please include the words “RFP: Vendor Response” in the subject line. Vendors should organize their proposals as defined below to ensure consistency and to facilitate the evaluation of all responses. All the sections listed below must be included in the proposal, in the order presented, with the Section Number listed. The responses shall be submitted in the following format: Section 1 – Executive Summary (provide a concise summary of the products and services proposed) Section 2 – Vendor Profile (provide answers using the template and instructions below) Section 3 – Specifications (provide answers using the template and instructions below) Section 4 – Implementation Plan (provide a high level implementation plan with estimated timeline) Section 5 – Hardware and Configuration Specifications (provide a list of hardware requirements and configuration options [client/server, SaaS, etc.]) Section 6 – Cost Estimate (provide answers using the template and instructions below) General Conditions is not obligated to any course of action as the result of this RFP. Issuance of this RFP does not constitute a commitment by to award any contract. The is not responsible for any costs incurred by any vendor or their partners in the RFP response preparation or presentation. Information submitted in response to this RFP will become the property of . All responses will be kept private from other vendors. reserves the right to modify this RFP at any time and reserves the right to reject any and all responses to this RFP, in whole or in part, at any time. Vendor Profile Using the template below, please provide the requested information on your organization. Your response to a specific item may be attached to this section as an additional page if necessary. General Name Click here to enter text. Address (Headquarters) Click here to enter text. Address Continued Click here to enter text. Main Telephone Number Click here to enter text. Website Click here to enter text. Publicly Traded or Privately Held Click here to enter text. Parent Company (if applicable) Name Click here to enter text. Address Click here to enter text. Address Continued Click here to enter text. Telephone Number Click here to enter text. Main Contact Name Click here to enter text. Title Click here to enter text. Address Click here to enter text. Address Continued Click here to enter text. Telephone Number Click here to enter text. Fax Number Click here to enter text. Email Address Click here to enter text. Market Data Number of years as EHR vendor Click here to enter text. Number of live sites Click here to enter text. Breakdown of sites by provider # (1-5, 6-9, >10) Click here to enter text. Number of new EHR installations over the last 3 years? Click here to enter text. What is the percentage of vendor-provided installs vs. outsourced to 3rd party companies? Click here to enter text. Breakdown of sites by specialty Click here to enter text. Size of existing user base Click here to enter text. Does the product have a presence? If so, # of install sites by specialty and size; list of reference sites. Click here to enter text. What is the current implementation timeframe when using only vendor-supplied resources? Click here to enter text. Number and percentage of practices in that did not get installed four (4) months after signing contract? Click here to enter text. How many organizations have de-installed any vendor systems over the past two (2) years? Please specify which systems and why? Click here to enter text. What is your EHR customer retention for the years , , and ? Click here to enter text. Total FTEs Last Year Click here to enter text. Total FTEs This Year Click here to enter text. Explain how your company is planning to meet the increase in demand for your EHR product (including implementation, training, and support) over the next five (5) years. Click here to enter text. Product Information Product name and version# Click here to enter text. When is your next version release? Click here to enter text. Single Database for scheduling, billing, and EHR? Click here to enter text. Is it a Client Server, ASP or Hosted model? Click here to enter text. Does product include a patient portal? Click here to enter text. Was the product (or any of its significant functionality) acquired from another company? If yes, please answer the following: What was the original company’s name that developed the product or functionality? What was the original product’s name? What version did you purchase? Click here to enter text. Does the product include a patient portal and/or does it allow integration with 3rd party patient portals (e.g., Google Health, Microsoft HealthVault, iHealth, etc)? Click here to enter text. Is the product comprehensive or modular? Click here to enter text. Modular List all modules available, their current version, and provide additional documents with all technical specifications, requirements, and dependencies for each module to operate fully with the “core” product. Click here to enter text. Which modules are necessary in order to meet meaningful use criteria? Click here to enter text. Are additional or multiple modules required to meet post-2011 meaningful use guidelines? Click here to enter text. Comprehensive Does the product meet meaningful use guidelines? Click here to enter text. Will the product continue to meet meaningful use guidelines through 2015 without significant changes? Click here to enter text. Will there ever be a charge to copy, move, or retrieve patient data from the product should a customer decide to change vendors or a provider leave the customer? Click here to enter text. List all ways that a practitioner could import a patient’s data into the product: CD/DVD Flash Drive PDF Format Paper Copies Clinical Exchange Document Click here to enter text. Reporting Capabilities Does the product allow custom reports to be created? Click here to enter text. Ad hoc reporting by users an option? Click here to enter text. Provide a list of standard reports (no customization) which the customer may run at Go Live to meet meaningful use and/or HIPAA requirements. Click here to enter text. Can this report information be exported to CD/DVD in CSV or comma text delimited format? Click here to enter text. ONC-ATCB Certification Is the product ONC-ATCB certified? Click here to enter text. Version and Year of Certification Click here to enter text. Certified as Comprehensive or Modular? Click here to enter text. Meaningful Use Are the modules necessary to meet each of the menu set objectives included in the attached pricing, or are they sold separately at an additional cost? Click here to enter text. Do you have a guarantee the product will meet the current standards and future standards? Click here to enter text. Additional Information Timeframe to receive demonstration of product Click here to enter text. Is a demo copy available prior to purchasing? Click here to enter text. Onsite implementation or remote? Click here to enter text. Training sites Click here to enter text. Training options (train-the-trainer, # hours all staff) Click here to enter text. Has your company acquired, been acquired, merged with other organizations, or had any “change in control” events within the last five (5) years? (If yes, please provide details.) Click here to enter text. Is your company planning to acquire, be acquired, merge with other organizations, or have any “change in control” events within the next five (5) years? (If yes, please provide details.) Click here to enter text. Does your company use resellers to distribute your product(s)? If yes, please answer the following: What is your reseller structure? Who are your resellers who are authorized to sell within [STATE]? If no, please answer the following: What is your distribution and sales structure? Click here to enter text. Please provide information on any outstanding lawsuits or judgments within the last five (5) years. Please indicate any cases that you cannot respond to as they were settled with a non-disclosure clause. Click here to enter text. Security and Security Features Describe how the product meets all HIPAA, HITECH, and other security requirements. Click here to enter text. Does the product provide different levels of security based on User Role, Site, and/or Enterprise settings? Click here to enter text. Does the product provide different levels of security based on type of patient (Employee vs. VIP)? Click here to enter text. Describe the audit process within the product. Click here to enter text. List the security reports the product provides at Go-Live to meet all auditing and HIPAA reporting needs. Click here to enter text. Describe any remote tools you offer the provider to access patient data (e.g. iPhone) and how these devices/data may be secured if the provider loses their device or a breach is suspected. Click here to enter text. Describe the product’s ability to terminate user connections/sessions by an administrator (remotely) if a breach is suspected. Click here to enter text. Describe the product’s ability to lockout users (for upgrades, security breaches, employee terminations, etc). Click here to enter text. Describe the product’s ability to create new security rights/roles based on new workflows or enhancements (e.g., customer-developed content such as Psych notes or departmental flowsheets). Click here to enter text. Data Protection Describe how the patient’s data is secured at all times and in all modules of the product (e.g., strong password protection or other user authentication, data encrypted at rest, data encrypted in motion). Click here to enter text. Describe how the patient’s data is secured when accessed via handheld devices (e.g., secured through SSL web sites, iPhone apps, etc). Click here to enter text. Licensing How is the product licensed? Click here to enter text. Are licenses purchased per user? Click here to enter text. Define ‘user’ if it relates to the licensing model (i.e., FTE MD, all clinical staff, etc). Click here to enter text. How does the system licensing account for residents, part time clinicians, and midlevel providers? Click here to enter text. Can user licenses be reassigned when a workforce member leaves? Click here to enter text. If licensing is determined per workstation, do handheld devices count towards this licensing? Click here to enter text. Is system access based on individual licensing, concurrent, or both? Click here to enter text. What does each license actually provide? Click here to enter text. For modular systems, does each module require a unique license? Click here to enter text. In concurrent licensing systems, when are licenses released by the system (i.e., when the workstation is idle, locked, or only when user logs off)? Click here to enter text. Computerized Physician Order Entry (CPOE) Is CPOE part of the core product or a separate module? Click here to enter text. Is CPOE customizable per provider or are templates available? Click here to enter text. Does the system allow for custom Order Sets to be built? Click here to enter text. Does the system allow multiple Resultable Items to be mapped to a single Orderable Item? (e.g., Skin tests have multiple antigens (resultables) which must map to a single Orderable item code). Click here to enter text. Does the system allow free text ordering? Click here to enter text. Does the system provide the end user the ability to cancel pending orders? Click here to enter text. If so, does an outbound interface message result, sending the cancellation message to 3rd party systems? Click here to enter text. Does the system utilize ICD9 or ICD10 coding? Click here to enter text. Are codes pre-loaded? Click here to enter text. Are future code updates vendor or user applied? Click here to enter text. Does the system allow custom questions per order to be developed? Click here to enter text. If so, please describe how these items are built and managed by the customer. Click here to enter text. Can these items be classified as “required” or “optional” to complete? Click here to enter text. Does the product support recurring orders? Click here to enter text. If so, please describe how the system accommodates this workflow. Click here to enter text. Does the product support Orderable Favorites per user and/or per specialty? Click here to enter text. How does the product support ordering for off-site (non-integrated/interfaced) orders? Click here to enter text. Are there Reporting tools available to monitor all CPOE steps? (e.g., unsigned orders, overdue orders, etc.) Click here to enter text. Which LIS vendors currently interface “out of the box” with CPOE? Click here to enter text. Which RIS/PACS systems interface “out of the box” with CPOE? Click here to enter text. E-Prescribing Is E-Prescribing part of the core product or a separate module? Click here to enter text. Is E-Prescribing customizable per provider and/or at the enterprise level? Click here to enter text. What are the E-Signature Requirements for E-Prescribing? Click here to enter text. What is required of the customer in order to set this up? Click here to enter text. Which local or national pharmacies interface with the EHR? Click here to enter text. How are these updated and with what frequency? Click here to enter text. Is there an extra expense required for local pharmacies to be set up for E-Prescribing? Click here to enter text. Rate per transmission? Click here to enter text. What form of transmission is required? Click here to enter text. Is there a fax server incorporated in the EHR? Click here to enter text. If so, does it require a separate server? Click here to enter text. If not, are 3rd party vendor fax servers supported? Click here to enter text. Which vendors are supported? Click here to enter text. Can Rx faxes be configured to use a separate fax queue from other faxed documents within the system? Click here to enter text. Is there a functional limit to the number of fax lines supported by the system? Click here to enter text. Can active faxes be cancelled during transmission by user or by system administrators? Click here to enter text. What security settings are available in the product to govern who can E-Prescribe? Click here to enter text. Are medication updates performed regularly? Click here to enter text. Which vendor(s) does the product support? Click here to enter text. Does it include Drug Contraindications? Click here to enter text. Does it include Drug Interactions? Click here to enter text. Does it include Drug Warnings received? Click here to enter text. Are reporting tools for E-Prescribing available? Click here to enter text. Describe how new medications are displayed in the system if added by: MD RN MA PA/NP Residents Click here to enter text. Where is E-Prescription information housed in the EHR? Click here to enter text. Describe the audit features for E-Prescribing. Click here to enter text. Does the system keep a running history of Rx renewal changes? Click here to enter text. Infrastructure and Technology If product is a client/server model, please respond to questions below: What type of hardware is required? Click here to enter text. What are the recommended workstation requirements? Click here to enter text. What are the recommended server specifications? Click here to enter text. Recommended Manufacturer/Model? Click here to enter text. How many servers and server roles? Click here to enter text. Application Server Click here to enter text. Web Server IIS (version) Apache (version) Click here to enter text. Other Click here to enter text. Database Server Click here to enter text. MS SQL (version) Click here to enter text. Oracle (version) Click here to enter text. Other Click here to enter text. HL7 Interface System Click here to enter text. Test Server Click here to enter text. E-mail Server Click here to enter text. Others (Fax, Print, Dictation, etc) Click here to enter text. Operating system (Windows, Unix/Linux, Other) Click here to enter text. Processor (number of processors and processor speed)? Click here to enter text. Memory/RAM requirements? Click here to enter text. Storage Space Requirements? Click here to enter text. SANs Connectivity (Yes/No) Click here to enter text. If yes, SANs requirements? Click here to enter text. Network Card Speeds Click here to enter text. Dual NICs required? Click here to enter text. Other Components Required? Click here to enter text. What other applications are required for server? Click here to enter text. Server Management Tools Click here to enter text. Bandwidth Monitors Click here to enter text. Database Management Suite Click here to enter text. Can systems be virtualized? Click here to enter text. Will the product run on virtualized servers? Click here to enter text. If yes, what virtualization and remote access software is required on server? Click here to enter text. Citrix Click here to enter text. BMC Click here to enter text. Other Click here to enter text. If no, are you moving toward certifying virtualized environments? Click here to enter text. Are we required to purchase hardware from your company? Click here to enter text. Do you have a recommended vendor with discount pricing to purchase equipment? Click here to enter text. What type of support is available if equipment purchased from your company? Click here to enter text. What are the recommended printer manufacturers/models? Click here to enter text. What type(s) of printers are recommended? (Laser, Inkjet, Thermal) Click here to enter text. What are the recommended scanner manufacturers/models? Click here to enter text. Do you require Internet access for your product? Click here to enter text. For remote connection/maintenance? Click here to enter text. If so, please detail security setup required for this access. If Delta processes are initiated and data is downloaded into the system automatically, detail that information here. Click here to enter text. Remote Support? Click here to enter text. If so, please detail security setup and access rules governing when connections are created and what type of work can be performed on the live system during normal business hours. Click here to enter text. Access System/Application Remotely? Click here to enter text. Are there any Delta processes that run nightly/weekly/etc. and if so, what data is collected and how is it used? Click here to enter text. What are the minimum network infrastructure requirements? Click here to enter text. Firewall/VPN Appliance? Click here to enter text. Switches/Routers Click here to enter text. Other Devices Click here to enter text. Will your product operate on Windows Terminal Services or Citrix? Click here to enter text. If no, are there plans to certify in these environments? Click here to enter text. What are the backup requirements? Click here to enter text. Do you require a separate server for backup services? (Tape, SANs) Click here to enter text. Are 3rd party backup solutions supported? Click here to enter text. Does product provide database software (Yes/No)? Click here to enter text. If no, what database application is required? (MS SQL, Oracle, MySQL, Other) Click here to enter text. Can data be exported? Click here to enter text. What format? (CSV, Text/Comma delimited, Other) Click here to enter text. Does product allow for ad hoc reporting against the database by customer using standard reporting software (Crystal Reports) or standard database queries? Infrastructure and Technology If product is an ASP model, please respond to questions below: Do you provide ASP solutions or require 3rd party vendor participation? Click here to enter text. What is the 3rd party vendor’s involvement? Click here to enter text. How are support issues handled? Click here to enter text. Does the ASP model require a server at the customer location? Click here to enter text. If yes, what are the system requirements? Click here to enter text. Number of Server(s)? Click here to enter text. Processor Click here to enter text. Storage and Fault Tolerance Requirements? Click here to enter text. Memory? <25 concurrent users >25 concurrent users Click here to enter text. Bandwidth Requirements? Click here to enter text. System Backup Requirements? Click here to enter text. Types of Server(s) Click here to enter text. Database Servers Click here to enter text. Web Servers Click here to enter text. Interface Servers Click here to enter text. Scanning Servers Click here to enter text. Messaging (Fax, E-Prescribing, Print) Servers If fax from server, what fax cards are supported? Is separate fax software needed? Click here to enter text. Is virtualization supported or required (VMWare, XenApp, etc.)? Click here to enter text. If so, on which servers and in what configuration? Click here to enter text. Are Citrix and/or Terminal Services supported? Click here to enter text. If so, are there any application modules not supported or recommended for use in a virtualized environment? Click here to enter text. Does your product require or recommend a firewall? Click here to enter text. If yes, what is the recommended manufacturer/model? Click here to enter text. Do you recommend VPN access? Click here to enter text. Do you provide all CALs (client access licenses) for database and system access or does the customer purchase these? Click here to enter text. If customer must purchase, how many need to be purchased based on expected number of users on the product? Click here to enter text. List all security enhancements which must be accommodated on workstations (e.g., Internet sites trusted, active x controls enabled, Dot Net versions supported, registry modifications, etc). Click here to enter text. Does the product support any of the following external devices: USB devices Scanners (manufacturer/model) Flatbed Handheld (i.e., Barcode, PDA, BlackBerry Devices, etc.) Card Readers (i.e. smart card, security Other Input Devices Click here to enter text. What are the bandwidth requirements per user? Click here to enter text. What are the workstation requirements? Click here to enter text. Manufacturer/Model Processor Storage Memory Operating System Click here to enter text. Does the product require any type of client (i.e. Citrix, clientware, Cisco VPN, etc.)? Click here to enter text. What applications are supported and/or need to be installed on the workstation? Java Flash Adobe Reader Microsoft Office (i.e., Word, Excel, etc.) Antivirus Which folders/files must be excluded from active scanning? Crystal Reports Open Office Remote Access Software (WinVNC, RDP, GoToMyPC, etc.) for support Click here to enter text. Require ODBC driver or SQL application on workstations? Click here to enter text. Any other applications required? Click here to enter text. Can the product be securely accessed from any location with an Internet/broadband connection? Click here to enter text. How is data saved at the ASP location? Click here to enter text. How often is routine maintenance performed on remote system? Backups? Updates? Performance Monitoring and Enhancements Click here to enter text. Since we would be dependent on Internet connection, what is our strategy if the Internet connection goes down and cannot use your system? Click here to enter text. How will the customer be able to download and distribute the patient’s health record to meet meaningful use? Click here to enter text. How will the customer be able to upload patient-provided records (either paper or electronic format (radiology, medical records, lab data, etc.))? Click here to enter text. Infrastructure and Technology If product is a SaaS model, please respond to questions below: Do you provide direct SaaS solutions or require 3rd party vendor participation? Click here to enter text. How are support issues handled? Click here to enter text. Does a 3rd party vendor host any part of your product and/or data? Click here to enter text. Does your product require or recommend a firewall on the client side? Click here to enter text. If yes, what is the recommended manufacturer/model? Click here to enter text. Can the product be securely accessed from any location with an Internet/broadband connection? Click here to enter text. What are the security requirements for remote users (non-office users)? Click here to enter text. What are the minimum bandwidth requirements? Click here to enter text. List all security enhancements which must be accommodated on client workstations (e.g., Internet sites trusted, active x controls enabled, Dot Net versions supported, registry modifications, etc.). Click here to enter text. Does the product support any of the following external devices: USB Devices Scanners (Manufacturer/Model) Flatbed Handheld (i.e., Barcode, PDA, BlackBerry Devices, etc.) Card Readers (i.e., Smart Card, Security) Other Input Devices Click here to enter text. What are the workstation requirements? Click here to enter text. Manufacturer/Model Processor Storage Memory Operating System Click here to enter text. Does the product require any type of client (i.e. Citrix, clientware, Cisco VPN, etc.)? Click here to enter text. What applications are supported and/or need to be installed on the workstations? Java Flash Adobe Reader Microsoft Office (i.e., Word, Excel, etc.) Antivirus Which folders/files must be excluded from active scanning? Crystal Reports Open Office Remote Access Software (WinVNC, RDP, GoToMyPC, etc.) for support Click here to enter text. Require ODBC driver or SQL application on workstations? Click here to enter text. Any other applications required? Click here to enter text. How is data saved and stored? Click here to enter text. How will the customer be able to download and distribute the patient’s health record to meet meaningful use? Click here to enter text. How will the customer be able to upload patient-provided records (either paper or electronic format (radiology, medical records, lab data, etc.))? Click here to enter text. Can information be exported to CD/DVD in CSV or comma text delimited format? Click here to enter text. Does product allow reports be created? Click here to enter text. Ad hoc reporting option? Click here to enter text. Provide a list of standard reports (no customization) which the customer may run to meet meaningful use requirements. Click here to enter text. How often is routine maintenance performed on remote system? Backups? Updates? Performance Monitoring and Enhancements Click here to enter text. Can you provide a contingency strategy or disaster recovery plan in the event Internet service is lost and customer is unable to access your system and application? Click here to enter text. Do you have normal ‘downtime’ windows for system backup and maintenance? Click here to enter text. Does this affect access to the product? Click here to enter text. How is data gathered during Internet outages? Click here to enter text. Is it uploaded into the system when Internet restored? Is this process done manually or automatically? How do we verify information has been uploaded? Click here to enter text. In the event access to your site is unavailable, what steps will you take to notify the customer of progress towards resolving the issue? Click here to enter text. What steps should the customer take during this time? Click here to enter text. In the past two (2) years, how many outages have you experienced due to your own infrastructure problems? Click here to enter text. Do you have redundant Internet providers? Click here to enter text. Is there a patient portal? Click here to enter text. Is there a test environment for the customer to use? Click here to enter text. What are the network infrastructure requirements? Click here to enter text. What are your security requirements and recommendations for client workstations? Click here to enter text. Is your site secured with encryption and antivirus? Click here to enter text. How often is access audited and by whom? Click here to enter text. Is there an off-site disaster recovery location for your server farm? Click here to enter text. How often is this tested? Click here to enter text. Vendor Support Do you offer multiple support programs? Please provide a detailed list of each with your standard SLA for each support program. Click here to enter text. What are your support statistics (# of Support Calls to the % of resolutions at each severity level)? Click here to enter text. Define the Support Structure (Tiered Approach, Client assigned 1 point of contact, etc.) Click here to enter text. What is your availability to the practice for meetings to discuss EHR issues and concerns? Click here to enter text. When is customer support available? Preferred method of contact (Phone call, e-mail, etc.)? Where is your customer support staff located? Are they ‘off-shore’? What are your normal hours of support? How is after hours support handled? Will someone be on-call at all times? Click here to enter text. Problem/Resolution Process Response time expectations for all levels of severity Average time to close tickets by severity level Escalation Process Severity Level System Issue/Resolution Tracking System Test System vs. Live System Click here to enter text. Who has ownership of the following: Data Software Enhancements or Customizations Paid for by Customer Hardware Servers Workstations Click here to enter text. What are your additional fee based services? Click here to enter text. Do you have online support (Knowledgebase, InfoCenter, etc.)? Click here to enter text. Is your support staff certified (i.e., HDI, SCP)? Click here to enter text. Is remote assistance an option for workstation and server issues? Click here to enter text. Describe Enhancement Request Model Click here to enter text. Do you have a user forum for practices to seek help from peers and share ideas? Click here to enter text. Do you have regional and national user conferences? Click here to enter text. On-going Maintenance Click here to enter text. Upgrade Process Will customer get to choose which upgrades they want? Frequency of Upgrades? How long can a customer delay an upgrade without losing support? Will training be provided for new functionality? Click here to enter text. Testing Will customer get a chance to test the product in a test environment? Will customer get access to test scripts from vendor? Will customer have an opportunity to parallel test with vendor or conduct Acceptance Testing? End to End Testing? Click here to enter text. Product Enhancement Requests If customer wants to add an enhancement, what is the process? Are there additional costs for an enhancement? How soon will customer be able to view, test, and use enhancement? How will upgrades work with new enhancement? Will all other customers get the enhancement one company has paid for? How will the company stay up-to-date on required meaningful use definition changes? Click here to enter text. Training/Testing – All Phases (Selection through Post Go-Live) Development/Training Environment Click here to enter text. Specify if this will be provided before or after a contract is signed. Click here to enter text. Will access be granted to development/training environment for testing during upgrades and during training processes? Click here to enter text. What types of online training are available? Click here to enter text. Videos Recorded Modules/Workflow Training Courses Recorded Interactive “Many-to-One” Training Sessions Quick Reference or Tips & Tricks Videos Trial Demonstration of EHR Click here to enter text. Web Based Training Interactive training activity with screenshots & instructions to give clinic exposure of EHR selected before core training Click here to enter text. Facilitator/Consultant Led Training Sessions Module Training Sessions Workflow Training Sessions (Nurse, Provider, Front Office, etc.) One-on-One Training Sessions with Consultant Describe your training personnel (i.e., background, position, medical credentials). Vendor-Directed Demo (i.e., Web Ex Training, On-Site, etc.) Click here to enter text. Training Documents (Identify format of documentation) Training Manuals Quick reference guides that focus on specific tasks On-line Printable Training Documentation Upgraded Training Guide Describe when these documents are modified and how quickly they are made available to the customer after product changes occur. Click here to enter text. Is Practice/Specialty Specific Training Offered? Click here to enter text. What is created by vendor vs. customer? Creating specialized templates for efficient documentation Creating favorites/shortcuts within the product Does the product have customizable preferences? Click here to enter text. Will a workflow assessment be completed by the vendor? Will a document be sent to be completed by clinic? Will vendor complete on-site workflow assessment? Is there an additional cost for workflow assessment? Click here to enter text. Will recommendations be provided for abstracting or bulk loading data from paper charts into the EHR? Click here to enter text. Contractually, can users access the live EMR system prior to Go-Live for build or ‘pilot’ purposes? Click here to enter text. Super User Training Will super users be trained by vendor? Remote or on-site training provided? Click here to enter text. Cost of Training Describe training options included in contract agreement. Will additional costs be incurred on clinic for training? Click here to enter text. On-Site Training How many days does EHR vendor provide for on-site training? Will Go-Live be scheduled shortly after initial staff training? What is the consultant/provider ratio during training? Will trainers complete a readiness assessment before Go-Live? Will vendor provide clinic with on-site demos before and after contract is signed? Will office be trained on hardware if purchased through the vendor before Go-Live training? Click here to enter text. Go-Live Click here to enter text. Will vendor staff be on-site during ‘Go Live’ timeframe? Click here to enter text. What will be their role during ‘Go Live’? Trainer Technical Click here to enter text. Post Go-Live Training and Support Click here to enter text. After ‘Go-Live’, who (i.e., support team, implementation manager, etc.) will be available to answer questions, issues, and/or training requests? If original implementation team, how long before this level of service is transferred to “normal” support team? Click here to enter text. Will a post Go-Live assessment be completed after a specified amount of time by the vendor? Click here to enter text. How will clinic be notified of upgrades when they are released and who is responsible for installing these updates (dates, training, documentation, etc.)? Click here to enter text. Contract Terms and Vendor Guarantees Will the customer be allowed to perform acceptance testing of this product prior to “Go-Live”? Click here to enter text. Will the customer be allowed to make payments based upon milestones with a significant portion of the fees not payable until “Go-Live”? Click here to enter text. What is the vendor’s responsibility when: Problem resolution is not met by a certain time based on severity level of the problem or issue? Meaningful use criteria are not met as promised? Upgrades cause problems (causes meaningful use criteria to no longer be met or critical workflows to break)? Training is not conducted in agreed upon timeframe and/or the training materials are not adequate or delivered per contract deliverables? Implementation is not completed by vendor in the agreed upon timeframe due to issues related to the vendor (staffing conflicts, software problems, etc.)? Incompatibility issues arise between hardware (which meets agreed upon specifications) and approved software? Promised product functionality does not exist at time of Implementation? Damages to hardware during transport if purchased through vendor or while vendor is on-site during installation? Data is corrupted during the course of normal use and operation of the product? SLAs are not met? Click here to enter text. Will you allow the representations made in your response to this RFI to be incorporated into the contract? Click here to enter text. Will you agree to a cap on price increases? For how long? Click here to enter text. How long will you guarantee to provide maintenance (or other support) on this product? Click here to enter text. What is the process that you will follow when “sunsetting” this product? Click here to enter text. Will you escrow the source code for this product? Click here to enter text. Will you agree to the contract being governed by [STATE] law (including the applicable provisions of the UCC)? Click here to enter text. Will you agree to negotiate a standard form contract for use by [REC] clients? Click here to enter text. Other Vendor Services Offered What other companies have you partnered with to provide services on your behalf and what are their contact information? Click here to enter text. If their work is done on your behalf (implementation, upgrades, etc.), do you warranty their work as if it was your own? Click here to enter text. Specifications When responding to each item in the specifications section, place an “X” under one of the following columns: “Yes, Included” = the function is available in the system and it is part of the basic system “Yes, Additional Cost” = the function is available but it requires system customization at an additional cost “No” = the function is not available Use the column labeled “Comments / Clarifications” to include additional information you wish to include as part of your response. This column can also be used to indicate if a function is not currently available but will be available in a future release by indicating the version number and approximate month/year when the function will be available (e.g. Version 8.2/August 2012). No comment or clarification should exceed half a page in length. Comments and Clarifications may be provided on a separate attachment. Specifications Yes, Included Yes, Addtl. Cost No Comments / Clarifications General The system supports both a total paperless function and a hybrid function, where the contents of the electronic record can be printed for inclusion in the paper chart. ☐ ☐ ☐ Click here to enter text. The system includes automatic translation of codes to data. ☐ ☐ ☐ Click here to enter text. The system includes support and updates for the above vocabularies. ☐ ☐ ☐ Click here to enter text. The system includes SNOMED CT as the integrated standard nomenclature of clinical terms. ☐ ☐ ☐ Click here to enter text. Your company provides after-hours call center support for the system. ☐ ☐ ☐ Click here to enter text. Demographics / Care Management The system has the capability to record demographics including: Preferred language, insurance type, gender, race, ethnicity, and date of birth. ☐ ☐ ☐ Click here to enter text. The system supports the Continuity of Care Document Continuity of Care Record, HITSP standard. ☐ ☐ ☐ Click here to enter text. The system has the capability of importing patient demographic data via HL7 interface from an existing Practice Management System, Patient Registration System, or any such system used for patient registration and/or scheduling. ☐ ☐ ☐ Click here to enter text. Patient History The system has the capability to import patient health history data, including obstetrical history data, from an existing system. ☐ ☐ ☐ Click here to enter text. The system presents a chronological, filterable, and comprehensive review of patient’s EHR, which may be summarized and printed, subject to privacy and confidentiality requirements. ☐ ☐ ☐ Click here to enter text. Current Health Data, Encounters, Health Risk Appraisal The system includes a combination of system default, provider customizable, and provider-defined and reusable templates for data capture. ☐ ☐ ☐ Click here to enter text. The system obtains test results via standard HL7 interface from: laboratory. ☐ ☐ ☐ Click here to enter text. The system obtains test results via standard HL7 interface from: radiology/ imaging. ☐ ☐ ☐ Click here to enter text. The system obtains test results via standard HL7 interface from: other equipment such as Vitals, ECG, Holter, Glucometer. ☐ ☐ ☐ Click here to enter text. The system has the capability to capture and monitor patient health risk factors in a standard format. ☐ ☐ ☐ Click here to enter text. The system provides a flexible, user modifiable, search mechanism for retrieval of information captured during encounter documentation. ☐ ☐ ☐ Click here to enter text. The system provides a mechanism to capture, review, or amend history of current illness. ☐ ☐ ☐ Click here to enter text. The system enables the origination, documentation, and tracking of referrals between care providers or healthcare organizations, including clinical and administrative details of the referral. ☐ ☐ ☐ Click here to enter text. The system tracks consultations and referrals. ☐ ☐ ☐ Click here to enter text. Encounter – Progress Notes The system records progress notes utilizing a combination of system default, provider customizable, and provider-defined templates. ☐ ☐ ☐ Click here to enter text. The system includes a progress note template that is problem oriented and can, at the user’s option be linked to either a diagnosis or problem number. ☐ ☐ ☐ Click here to enter text. Problem Lists The system creates and maintains patient-specific problem lists. ☐ ☐ ☐ Click here to enter text. For each problem, the systems has the capability to create, review, or amend information regarding a change on the status of a problem to include, but not be limited to, the date the change was first noticed or diagnosed. ☐ ☐ ☐ Click here to enter text. Clinical Practice Guidelines (CPG) The system includes and maintains evidence-based Clinical Practice Guidelines (CPGs) published and maintained by credible sources such as the American Heart Association (AHA), U.S. Preventive Services Task Force (USPSTF), American College of Cardiologists (ACC), American College of Physicians (ACP) and other groups. The guidelines incorporate patient education and actionable alerts and reminders. ☐ ☐ ☐ Click here to enter text. The system allows reporting and analysis of any / all components included in the CPG. ☐ ☐ ☐ Click here to enter text. Included in each CPG, the system has the capability to create, review, and update information about: ☐ ☐ ☐ Click here to enter text. The performance measures that will be used to monitor the attainment of objectives. ☐ ☐ ☐ Click here to enter text. The quantitative and qualitative data to be collected. ☐ ☐ ☐ Click here to enter text. Performance metrics: CPG shall allow for decision support based on standardized discrete data to be used to calculate clinical performance measures. ☐ ☐ ☐ Click here to enter text. Collection means and origin of data to be evaluated. ☐ ☐ ☐ Click here to enter text. The system allows the provider or other authorized user to override any or all parts of the guideline. The system is able to collect exceptions for NOT following the CPG. ☐ ☐ ☐ Click here to enter text. Care Plans The system provides administrative tools for organizations to build care plans, guidelines, and protocols for use during patient care planning and care. ☐ ☐ ☐ Click here to enter text. The system generates and automatically records in the care plan document, patient-specific instructions related to pre- and post-procedural and post-discharge requirements. The instructions must be simple to access. ☐ ☐ ☐ Click here to enter text. Prevention The system has the capability to display health prevention prompts on the summary display. The prompts must be dynamic and take into account sex, age, and chronic conditions. ☐ ☐ ☐ Click here to enter text. The system includes user-modifiable health maintenance templates. ☐ ☐ ☐ Click here to enter text. The system includes a patient tracking and reminder capability (patient follow-up) updatable by the user at the time an event is set or complied with. ☐ ☐ ☐ Click here to enter text. Patient Education The system has the capability to create, review, update, or delete patient education materials. The materials must originate from a credible source and be maintained by the vendor as frequently as necessary. ☐ ☐ ☐ Click here to enter text. The system has the capability of providing printed patient education materials in culturally appropriate languages on demand or automatically at the end of the encounter. At minimum, the materials must be provided in English and Spanish as applicable. ☐ ☐ ☐ Click here to enter text. Alerts / Reminders The system includes user customizable alert screens / messages, enabling capture of alert details. ☐ ☐ ☐ Click here to enter text. The system has the capability of forwarding the alert to a specific provider(s) or other authorized users via secure electronic mail or by other means of secure electronic communications. ☐ ☐ ☐ Click here to enter text. Orders The system includes an electronic Order Entry module that has the capability to be interfaced with a number of key systems depending on the health center’s existing and future systems as well as external linkages, through a standard, real time, HL7 two-way interface. ☐ ☐ ☐ Click here to enter text. The system displays order summaries on demand to allow the clinician to review/correct all orders prior to transmitting/printing the orders for processing by the receiving entity. ☐ ☐ ☐ Click here to enter text. Results The system has the capability to route, manage, and present current and historical test results to appropriate clinical personnel for review, with the ability to filter and compare results. ☐ ☐ ☐ Click here to enter text. Results can be easily viewed in a flow sheet as well as graph format. ☐ ☐ ☐ Click here to enter text. The system accepts results via two way standard interface from all standard interface compliant / capable entities or through direct data entry. Specifically – Laboratory, Radiology, and Pharmacy information systems. Please attach list of currently available interfaces, if available ☐ ☐ ☐ Click here to enter text. The system includes an intuitive, user customizable results entry screen linked to orders. ☐ ☐ ☐ Click here to enter text. The system has the capability to evaluate results and notify the provider. ☐ ☐ ☐ Click here to enter text. The system allows timely notification of lab results to appropriate staff as well as easy routing and tracking of results. ☐ ☐ ☐ Click here to enter text. The system flags lab results that are abnormal or that have not been received. ☐ ☐ ☐ Click here to enter text. Medication and Immunization Management The system identifies drug interaction warnings (prescription, over the counter) at the point of medication ordering. Interactions include: drug to drug, drug to allergy, drug to disease, and drug to pregnancy. ☐ ☐ ☐ Click here to enter text. The system alerts providers to potential administration errors for both adults and children, such as wrong patient, wrong drug, wrong dose, wrong route, and wrong time in support of medication administration or pharmacy dispense/supply management and workflow. ☐ ☐ ☐ Click here to enter text. The system supports multiple drug formularies and prescribing guidelines. ☐ ☐ ☐ Click here to enter text. The system provides the capability for electronic transfer of prescription information to a patient or organization selected pharmacy for dispensing. ☐ ☐ ☐ Click here to enter text. Confidentiality and Security The system provides privacy and security components that follow national standards such as HIPAA. ☐ ☐ ☐ Click here to enter text. The system provides privacy and security components that follow Wisconsin state-specific laws and regulations. ☐ ☐ ☐ Click here to enter text. The system hardware recommendations meet national security guidelines. ☐ ☐ ☐ Click here to enter text. The system has hardware recommendations for disaster recovery and backup. ☐ ☐ ☐ Click here to enter text. Clinical Decision Support The system offers prompts to support the adherence to care plans, guidelines, and protocols at the point of information capture. ☐ ☐ ☐ Click here to enter text. The system triggers alerts to providers when individual documented data indicates that critical interventions may be required. ☐ ☐ ☐ Click here to enter text. Reporting Are standard clinical reports built into the system for the user to query aggregate patient population numbers? ☐ ☐ ☐ Click here to enter text. The system can generate lists of patients by specific conditions to use for quality improvement. ☐ ☐ ☐ Click here to enter text. The system has the capability to report ambulatory quality measures to CMS for PQRI. ☐ ☐ ☐ Click here to enter text. The system can generate patient reminder letters for preventive services or follow-up care. ☐ ☐ ☐ Click here to enter text. The system supports disease management registries by: ☐ ☐ ☐ Click here to enter text. Allowing patient tracking and follow-up based on user defined diagnoses. ☐ ☐ ☐ Click here to enter text. Providing a longitudinal view of the patient medical history. ☐ ☐ ☐ Click here to enter text. Providing intuitive access to patient treatments and outcomes. ☐ ☐ ☐ Click here to enter text. What reporting engine is utilized within the software? (ex. Crystal Reports, Excel, proprietary). ☐ ☐ ☐ Click here to enter text. If utilizing Crystal Reports do you provide a listing of all reportable data elements? ☐ ☐ ☐ Click here to enter text. Does the end user have the ability to create custom reports? ☐ ☐ ☐ Click here to enter text. Can reports be run on-demand during the course of the day? ☐ ☐ ☐ Click here to enter text. Can reports be set up to run automatically as well as routed to a specific person with in the office? ☐ ☐ ☐ Click here to enter text. Meaningful Use The system has a bi-directional lab component. ☐ ☐ ☐ Click here to enter text. The system can check insurance eligibility electronically from public and private payers. List clearinghouses with which this functionality exists. ☐ ☐ ☐ Click here to enter text. The system can submit claims electronically to public and private payers. ☐ ☐ ☐ Click here to enter text. The system can provide patients with timely electronic access to their health information. ☐ ☐ ☐ Click here to enter text. The system can provide clinical summaries to patients for each visit. ☐ ☐ ☐ Click here to enter text. The system can provide a summary care record for each transition of care and referral visit. ☐ ☐ ☐ Click here to enter text. The system can exchange key clinical information among providers of care and patient authorized entities electronically. ☐ ☐ ☐ Click here to enter text. The system can submit immunization data electronically to the Wisconsin immunization registry. ☐ ☐ ☐ Click here to enter text. The system can provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice. ☐ ☐ ☐ Click here to enter text. Cost Measuring / Quality Assurance / Reporting The system has built-in mechanism/access to other systems to capture cost information. ☐ ☐ ☐ Click here to enter text. The system supports real-time or retrospective trending, analysis, and reporting of clinical, operational, demographic, or other user-specified data including current and future UDS reports. ☐ ☐ ☐ See http://bphc.hrsa.gov/uds/ The system allows customized reports or studies to be performed utilizing individual and group health data from the electronic record. ☐ ☐ ☐ Click here to enter text. The system will provide support for third-party report writing products. ☐ ☐ ☐ Click here to enter text. Chronic Disease Management / Population Health The system provides support for the management of populations of patients that share diagnoses, problems, demographic characteristics, etc. ☐ ☐ ☐ Click here to enter text. The system has a clinical rules engine and a means of alerting the practice if a patient is past due. ☐ ☐ ☐ Click here to enter text. The system generates follow-up letters to physicians, consultants, external sources, and patients based on a variety of parameters such as date, time since last event, etc. for the purpose of collecting health data and functional status for the purpose of updating the patient’s record. ☐ ☐ ☐ Click here to enter text. At minimum, the system is able to generate a variety of reports based on performance measures identified by the Physician Consortium for Performance Improvement (AMA/Consortium), the Centers for Medicare & Medicaid Services (CMS), and the National Committee for Quality Assurance (NCQA) for chronic diseases. Information on these measures can be found at: http://www.ama-assn.org/ama/pub/category/4837.html. The system follows measures approved by NQF (national quality form) and prompted by the AQA (ambulatory quality alliance) as well as those identified by the HRSA’s Health Disparities Collaborative http://www.healthdisparities.net/ ☐ ☐ ☐ Click here to enter text. Consents, Authorizations, and Directives The system has the capability for a patient to sign consent electronically. ☐ ☐ ☐ Click here to enter text. The system has the capability to create, maintain, and verify patient treatment decisions in the form of consents and authorizations when required. ☐ ☐ ☐ Click here to enter text. The systems captures, maintains, and provides access to patient advance directives. ☐ ☐ ☐ Click here to enter text. Technical Underpinnings The system incorporates extensive, secure telecommunications capabilities that link staff and clinicians from remote locations to the central site. ☐ ☐ ☐ Click here to enter text. Do you provide hardware or have a relationship with a hardware vendor? ☐ ☐ ☐ Click here to enter text. If working with a hardware vendor do you have negotiated pricing with them? ☐ ☐ ☐ Click here to enter text. Billing The system provides a bidirectional interface with practice management systems. ☐ ☐ ☐ Click here to enter text. Document Management The system includes an integrated scanning solution to manage old charts and incoming paper documents. ☐ ☐ ☐ Click here to enter text. Scanned documents are readily available within the patients chart. ☐ ☐ ☐ Click here to enter text. Scanned documents can be attached to intra office communication and tracked. ☐ ☐ ☐ Click here to enter text. The system has the ability to bulk scan and easily sort old patient charts for easy reference later. ☐ ☐ ☐ Click here to enter text. Images and wave files can also be saved and stored in the document management system. ☐ ☐ ☐ Click here to enter text. Insurance cards and drivers license can be scanned and stored in patient demographics. ☐ ☐ ☐ Click here to enter text. Scanned documents can be attached to visit notes. ☐ ☐ ☐ Click here to enter text. In a multiple location environment can each office scan in the same manner? ☐ ☐ ☐ Click here to enter text. Technical Support What hours is technical phone support available? ☐ ☐ ☐ Click here to enter text. What is the average amount of time for issue resolution? ☐ ☐ ☐ Click here to enter text. If a problem persists what is the escalation process? ☐ ☐ ☐ Click here to enter text. Do you have electronic ticketing for non-emergent technical support? ☐ ☐ ☐ Click here to enter text. Do you have a user forum for practices to seek help from peers and share ideas? ☐ ☐ ☐ Click here to enter text. Specialty Specific Requirements Specifications Yes, Included Yes, Addtl. Cost No Comments / Clarifications Specialty Specific Requirements – Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Click here to enter text. ☐ ☐ ☐ Click here to enter text. Practice Scenarios The project team created business scenarios that describe processes that the new EHR/PMS solution should address. A written response by the Vendor to these scenarios is requested. The Evaluation and Selection Committee will use the responses to the business scenarios to judge the ability of the prospective vendor’s proposed solution to meet Wilder’s general operational and reporting requirements. The Vendor should indicate whether the functionality is delivered by the software off the shelf or with modifications to fulfill the requirement. Include sample output of any reports requested in the scenario. If modifications or additional software (e.g., custom interfaces not included in software package) are required to achieve full functionality, additional explanation or screen samples, etc. may be attached to this section. Reference the scenario ID for all explanations. Selected business scenarios will also be used during on-site demonstrations and scored by the participants. Business Cases are detailed in the following table. Scenario Area Background Key Points System Approach to Scenario Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Cost Estimate Template For each proposed product, please provide cost estimates based upon a typical installation. To allow us to be able to compare responses, please assume that the product is going to be used at number of site(s) with number of providers. Also, any additional details regarding cost or pricing that may be helpful in our analysis should be included as well. Please use the following template, if possible—or attach a cost estimate proposal that includes answers to each question below — and provide it as a separate, sealed document within the RFP response. One time fees One time implementation fees: Click here to enter text. Training fees: Click here to enter text. Consulting fees: Click here to enter text. Initial year costs (include all fees for license, use, access, etc.) For x providers: Click here to enter text. For each additional provider: Click here to enter text. Please provide the pricing algorithm used to calculate this cost. Click here to enter text. Ongoing annual costs (include all fees for maintenance, support, use, access, etc.) For x providers: Click here to enter text. For each additional provider: Click here to enter text. Please provide the pricing algorithm used to calculate this cost. Also, please provide your policy regarding price increases. Click here to enter text. Five (5) year cost of ownership Please indicate the estimated TCO (“total cost of ownership”) for the product over a 5 year period. Click here to enter text. Training fees: Click here to enter text. March 31, 2012 • Version 1.0 0
This week, you have 2 deliverables. You will compile your plan for selection and implementation of a new EHR system based on the work that you have done in Weeks 1–3. You will also create a Request fo
HCI490 Scenario 1 Most hospitals and practices have implemented an electronic health record (EHR ) system to ensure compliance with meaningful use and other requirements under the HITECH Act and the Affordable Care Act. The benefits of an EH R system are numerous; however, there can be si gnificant barriers to their acquisition and use. Many health care institutions are re -evaluating their current EH R system in light of new requirements, concerns about the ability of current vendor s to support changes , and also mergers and acquisitions of institutions an d practices. You will use the following scenario to complete each week’s assignment s in this course. Scenario Yorkshire Clinic is an acute care clinic located in Tacoma, Washington. The clinic is comprised of a group of 10 physicians, 2 physician assistants, 1 nurs e practitioner, and several ancillary staff. Yorkshire Clinic serves a patient population of approximately 14,000. An EH R system was implemented 5 years ago to qualify for government incentives under the Health Information Technology for Economic and Clinical (HITECH) Act of 2009. Ms. Janet Hendricks, the Chief Executive Officer of Yorkshire Clinic, has received complaints from the medi cal staff about the current EHR system and has concerns about the responsiveness and ability o f the vendor to make upgrades. Sh e has s et the goal for the HCO to evaluate, select , and implement a new EHR system . Ms. Hendricks and the physicians have discussed the option, and they realize that replacing the current EHR could improve the quality and safety of patient care and alleviate futur e issues. In fact, they all believe in the need to replace the current EHR system so much that Ms. Hendricks has incorporated an EHR system replacement/upgrade into Yorkshire Clinic’s strategic plan. Ms. Hendricks and the physicians realize that replacing the current EH R system and implementing a new one will be costly and will take time, but they are willing to make the investment. There is widespread support for the endeavor, and everyone has agreed to be part of the steering committee to guide project development. The various stakeholders include physicians, nurses, administrators, and patients. There have been se veral meetings in which the end users have been afforded the opportunity to ask questions and provide their feedback about the initiative. There is growing enthusiasm among physicians and clinicians HCI490 Scenario 2 about the improvements and advantages of replacing the current EH R system . Ms. Hendricks has made it clear that patient needs are driving the project. She wants to ensure that EHR design is driven by patient care and satisfaction. She also wants to make sure that proper work flow planning occurs and the areas where EHR use could be best applied are determined. Leadership at Yorkshire Clinic also recognizes that training and support will be imperative to success. Ms. Hendr icks wants to ensure that training is budgeted for and scheduled accordingly. Deciding to replace an EHR system and then doing so can be a daunting and extensive process, and it requires an extensive amount of planning and organizational commitment. By developin g a viab le plan, risks associated with new EHR implementation can be minimized. Throughout this course, you will develop a plan to select and implement a new EH R system in Yorkshire Clinic. Each week, you will build upon your plan, and in the final weeks of t his course, you will provide a final report detailing your findings.

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